FORM HR983; Request for I-983
Training Plan for Science,
Technology, Engineering &
Mathematics (STEM)
OPT Students Page 1 of 2 The student together with his or her direct supervisor should complete Form HR983. This form is required to obtain the Official Employer Certification Signature on Form I-983 Training Plan for STEM OPT Students. This HR983 must be submitted with a copy of the student’s I-20 endorsed for OPT with a minimum
of 2 weeks before it is due to the Designated School Official (DSO). This form and any questions should be directed to either Serena Prammanasudh for HSC
or Tulsa campus employment (serena-greenwell@ouhsc.edu, 405-271-2189, 1100 N. Lindsay Ave SCB Room 119) or to Isabel Chu for Norman campus employment (isabelchu@ou.edu, 405-325-5790, 905 Asp Ave. Room 208). It is the sole responsibility of the student to submit the HR983 and I-983 to the DSO in
a timely manner.
Date: ___________ PART 1 - IDENTIFICATION
Section A: Student and dso information
Student Name
Student Email
Student Phone Number
DSO Contact Name
Email of DSO Contact
DSO Contact’s Phone Number
STEM OPT Requested Period (mm - dd - yyyy)
Start Date of Employment
Qualifying Degree (ex. Electrical Enginnering)
(mm - dd - yyyy)
From: _________________
OPT Hours Worked Per
Week
To: ___________________
PART 2 - EMPLOYMENT OPPORTUNITY
Section A: employer & position
Employer Department Name
Employer Site Address
Name & Title of Direct Supervisor
Academic Field of Degree
Bachelor's
Phone of Direct Supervisor
Months of Experience
Required for Position
Level of Qualifying Degree
Compensation
Salary Amount : $________________
Frequency: per ________________
Section B: Training Plan (student completes)
Student Role: Describe the ways in which the student’s qualifying STEM degree will be practically applied to the optical training opportunity offered by the employer.
Goals and Objectives: Describe how the assignment(s) and duties with the employer will help the student (you) achieve his or her specific objectives for work-based learning related to his or her STEM degree. Include specific goals and the knowledge , skills, or techniques to be attained
and the means by which they will be achieved. ~ International Faculty & Staff Services ~
NORMAN: 905 Asp Ave, NEL 205, Norman, OK 73019 Office: (405) 325‐5970 / Fax: (405) 325-7354 (rev. 05/2016)
HSC & TULSA: 1100 N Lindsay, SCB 119, OKC, OK 73104 Office: (405) 271-2189 / Fax: (405) 271-3925 FORM HR983; Request for I-983
Training Plan for Science,
Technology, Engineering &
Mathematics (STEM)
OPT Students Page 2 of 2 PART 3 - EMPLOYER CERTIFICATION
Section A: supervisor attestation
Direct Supervisor
I have reviewed and understand this Plan, and I will ensure that I, the Direct Supervisor (as set forth in Part 2), follows this
Plan.
Initials: _________
Section B: notification of material changes
Direct Supervisor
I will notify IFSS at the earliest available opportunity regarding any material changes to or material deviations from this Plan,
including but not limited to, a change in supervisor, number of work hours, salary, physical work location, or job title.
Initials: _________
Section C: notification of termination or departure
Direct Supervisor
Initials: _________
I will report the termination or departure of the student during the authorized period of OPT to IFSS, within 48 hours of the
termination or departure (note: an employer shall consider a student to have departed when the employer knows the student has left the practical training opportunity, or when the student has not reported for practical training for a period of five
consecutive business days without the consent of the employer.
Section d: Understanding regulatory provisions (see 8 cfr part 214)
I will adhere to all applicable regulatory provisions that govern this program, which include, but are not limited to, the
following:

The student’s practical training opportunity is directly related to the STEM degree that qualifies the student for the
STEM OPT extension, and the position offered to the student achieves the objectives of his or her participation in this
training program;

The student will receive on-site supervision, mentoring and training, consistent with this Plan, by experienced and
knowledgeable staff;

The employer has sufficient resources and personnel to provide the specified mentoring and training program set forth
in this Plan, and the employer is prepared to implement that program, including at the location(s) identified in this Plan;

The student’s practical training opportunity will not result in the termination, laying off, or furloughing of any full or parttime, temporary or permanent U.S. workers;

The terms and conditions of the STEM practical training opportunity—including duties, hours, and compensation—are
commensurate with the terms and conditions applicable to the employer’s similarly situated U.S. workers or, if the employer does not employ and has not recently employed more than two similarly situated U.S. workers in the area of employment, the terms and conditions of other similarly situated U.S. workers in the area of employment; and

The training conducted pursuant to this Plan complies with all applicable Federal and State requirements relating to
employment.
Direct Supervisor
Initials: _________
Section E: acknowledgement of potential site visits from Dept. of Homeland security (DHS)
Direct Supervisor
Initials: _________
I understand that DHS may, at its discretion, conduct a site visit of the employer to ensure it possesses and maintains the
ability and resources to provide structured and guided work-based learning experiences consistent with this plan.
Section F: signature
I certify, under penalty of perjury that I have read and reviewed this request and that to the best of my knowledge the information contained
herein is true and accurate. I agree to, and will abide by, the above terms for the duration of the Student’s STEM OPT opportunity. I understand
that to knowingly furnish false information in the preparation of the Form I-983 and any supplement thereto or to aid, abet, or counsel another to
do so is a federal offense.
Direct Supervisor ________________________________Name in Print_______________________________Date ___________________
Department Chair ________________________________Name in Print ______________________________ Date____________________
~ International Faculty & Staff Services ~
NORMAN: 905 Asp Ave, NEL 205, Norman, OK 73019 Office: (405) 325‐5970 / Fax: (405) 325-7354 (rev. 05/2016)
HSC & TULSA: 1100 N Lindsay, SCB 119, OKC, OK 73104 Office: (405) 271-2189 / Fax: (405) 271-3925